MedStar Authors catalog › Details for: Evolving Electrocardiographic Indications for Emergent Reperfusion. [Review]
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Evolving Electrocardiographic Indications for Emergent Reperfusion. [Review]

by Lipinski, Michael J.
Citation: Cardiology Clinics. 36(1):13-26, 2018 Feb.Journal: Cardiology clinics.Published: 2018ISSN: 0733-8651.Full author list: Lipinski MJ; Mattu A; Brady WJ.UI/PMID: 29173674.Subject(s): *Acute Coronary Syndrome/di [Diagnosis] | Acute Coronary Syndrome/su [Surgery] | Coronary Angiography/mt [Methods] | Diagnosis, Differential | *Electrocardiography/mt [Methods] | *Emergency Service, Hospital | Humans | *Myocardial Reperfusion | *Risk Assessment/mt [Methods] | Time-to-TreatmentInstitution(s): MedStar Heart & Vascular InstituteActivity type: Journal Article.Medline article type(s): Journal Article | ReviewOnline resources: Click here to access online Digital Object Identifier: (Click here) Abbreviated citation: Cardiol Clin. 36(1):13-26, 2018 Feb.Local Holdings: Available online from MWHC library: 1996 - present, Available in print through MWHC library: August 1998 - February 2004.Abstract: Chest pain or other symptoms concerning for acute coronary syndrome continues to remain a major reason for presentation to the emergency department. However, there is significant heterogeneity in the spectrum of risk severity of these patients. The electrocardiogram (ECG) remains a critically valuable tool in the physician's arsenal to diagnose patients and help with risk stratification. There are multiple high-risk ECG findings that are suggestive of adverse outcome and may benefit from rapid transfer for coronary angiography. This article reviews specific high-risk ECG patterns that may represent acute myocardial infarction or identify impending acute myocardial infarction that benefit from early diagnostic coronary angiography.Abstract: Copyright (c) 2017 Elsevier Inc. All rights reserved.

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